Abstract
Objective To explore the therapeutic scheme of pancreatic duct stones companying acute occurrence of chronic pancreatitis.Methods A total of 11 cases of pancreatic duct stones companying acute occurrence of chronic pancreatitis were surgically treated in our hospitaI from January 1998 tO September 2006.Of the 11 patients,2 were subjected tO pancreatico-lithotomy,duodenal papillotomy and hepatocholangiostomy,5 to pancreatico-lithotomy and pancreaticoiejunostomy,2 to resection of pancreatic tail with pancreaticojejunostomy and the other 2 to single resection of pancreatic tail.Results In general,the initial symptom of pancreatic duct stones companying acute occurrence of chronic pancreatitis was characterized by acute upper abdominal pain.B-mode ultrasonography and CT were important for its early diagnosis and ERCP was also of help to diagnosis.After operation,chronic abdominal pain disappeared in 54.54%(6/11)and ameliorated in 45.45%(5/11).Pancreatic fistula or bleeding occurred in 27.27%(3/11)of the patients.The follow-up of a mean of(39.2±36.2)months in 9 patients showed that there was no complication.Conclusion Pancreatic duct stones companying acute occurrence of chronic pancreatitis should be managed by conservative treatment in the early phase of disease.and correlative operation 3 months later. Key words: Pancreatitis; Pancreatic duct stone; Treatment
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